Evaluating a statewide partnership for reducing risks for chronic diseases

Adrienne Paine-Andrews, Kari Jo Harris, Stephen B. Fawcett, Kimber P. Richter, Rhonda K. Lewis, Vincent T. Francisco, Judy Johnston, Steve Coen

Research output: Contribution to journalArticlepeer-review

19 Scopus citations


We describe a case study evaluation of Kansas LEAN, a state-wide partnership with the mission of reducing risks for chronic diseases through dietary and exercise modification. We used a case study design to examine five primary questions related to process and outcome: (a) were the goals of the partnership important to constituents? (process), (b) were constituents satisfied with the partnership (process), (c) were community or systems changes (new or modified programs, policies, or practices) facilitated by partnership efforts (outcome)?, (d) were these changes important to the partnership's mission (outcome)?, and (e) what critical events helped facilitate community changes (outcome)? Several measurement instruments-a monitoring and feedback system, constituent surveys, and semistructured interviews-were used to address key evaluation questions. Kansas LEAN is a strong statewide partnership with involvement from key representatives throughout Kansas. It is an ongoing, comprehensive health promotion program that plans and implements multiple components, in a variety of settings, to create awareness, behavior change, and a supportive environment. Kansas LEAN has facilitated several important community or systems changes related to its mission. We conclude with a discussion of the challenges of evaluating partnerships that seek to reduce risks for chronic diseases.

Original languageEnglish
Pages (from-to)343-359
Number of pages17
JournalJournal of Community Health
Issue number5
StatePublished - 1997


Acknowledgments: This work benefited from the support of collaborators, especially Paula Marmet, Director, Office of Chronic Disease and Health Promotion; and Kathy Benbrook, staff member of Kansas LFAN. This work was supported in part by grants from the Kansas Health Foundation to the Work Group on Health Promotion and Community Development, Schiefelbusch Institute for Life Span Studies, at the University of Kansas. The Kansas Health Foundation is a philanthropic organization with the mission of improving the health of Kansas. Researchers with the Work Group on Health Promotion and Community Development at the University of Kansas also received funding from Kansas Health Foundation to provide technical assistance and evaluation in support of Kansas LEAN. Primary stakeholders for the evaluation included leadership of Kansas LEAN and senior program officer of the Kansas Health Foundation who was actively involved in the partnership.

FundersFunder number
Kansas Health Foundation
University of Kansas


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